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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFT (12-133
INHERITANCE TAX Orv1s10N
PO BOX 280601 STATEMENT OF ACCOUNT
HARRISBURG PA 17128-0601
DATE 04-21-2014
ESTATE OF POLLOCK GRACE M
DATE OF DEATH 02-15-2013
FILE NUMBER 21 13-0280
CULLEN ESQ DENNIS p COUNTY CUMBERLAND
S ACN 101
TE 201
1011 MUMMA RD Amount Remitted
LEMOYNE PA 17043-1143
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
NOTE: To ensure proper credit to your account, submit the upper portion of this form with your tax payment.
CUT ALONG THIS LINE RETAIN LOWER PORTION FOR YOUR RECORDS
REV-1607 EX AFP C12-13) I(a INHERITANCE TAX STATEMENT OF ACCOUNT
ESTATE OF:POLLOCK GRACE M FILE NO. : 21 13-0280 ACN: 101 DATE: 04-21-2014
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMARY OF THE PRINCIPAL
TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 03-10-2014
PRINCIPAL TAX DUE: 673,538.45
PAYMENTS (TAX CREDITS) : 41
ry i! Y
PAYMENT RECEIPT DISCOUNT AMOUNT PAID C ° m
DATE NUMBER INTEREST/PEN PAID (-)
05-14-2013 CDO17605 33,676.92 945,000 .00 p0
04-03-2014 REFUND . DO 305, 138.47-rTl n o
I" s M N ,"n
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TOTAL TAX PAYMENT 673,538.45
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE
.00
IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.
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